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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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Clinical practice evaluation at Providence Health System.

K B Bayley¹, D J Lansky, M R London

¹Providence Health System, Portland, OR, USA.

Quality Management in Health Care

|February 1, 1997

Summary

Providence Health System (PHS) evolved its clinical practice evaluation using outcomes research. This strategy, spanning back pain, heart disease, joint replacement, and cancer care, adapts to the changing healthcare landscape.

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Area of Science:

Health Services Research
Clinical Practice Evaluation
Outcomes Research

Background:

Providence Health System (PHS) in Portland, Oregon, has a history of evaluating clinical practices.
Early studies date back to the 1960s.
The healthcare landscape is constantly evolving.

Purpose of the Study:

To chronicle the evolution of clinical practice evaluation at PHS.
To showcase the application of an outcomes research paradigm.
To demonstrate a systemwide strategy responsive to healthcare market changes.

Main Methods:

Utilized an outcomes research paradigm over seven years.
Presented case studies in key medical areas.
Documented the historical development of evaluation methods at PHS.

Main Results:

Established the Center for Outcomes Research and Education (CORE).
Developed a new systemwide strategy for practice evaluation.
Applied outcomes research to back pain, coronary artery disease, total joint replacement, and cancer treatment.

Conclusions:

PHS has successfully integrated outcomes research into its practice evaluation.
The Center for Outcomes Research and Education (CORE) plays a vital role.
A responsive, systemwide strategy enhances adaptation to market dynamics.